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Nationwide rates for HCPCS 85250

Clotting; factor IX (PTC or Christmas)

Facilitymedian $43 · 10th–90th $18$1860%10%10th90th$43Professionalmedian $17 · 10th–90th $12$480%20%10th90th$17$0.5$5.0$50.0$500.0$5.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $46.77 / $218.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $56.23
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $87.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $11.48 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $38.02 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $22.39 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $19.05 / $26.30
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.48 / $28.18